- Medicare Primary Care in San Lorenzo, NM

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Lorenzo, New Mexico. The current practice location for is 2672 Nm Hwy 35, San Lorenzo, New Mexico. For appointments, you can reach them via phone at (575) 800-1467. The mailing address for is 530 De Moss St, Lordsburg, New Mexico and phone number is (575) 542-8384.

is licensed to practice in New Mexico (license number 3256). The clinic also participates in the medicare program and its NPI number is 1801889878. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (575) 800-1467.

Contact Information

2672 Nm Hwy 35
San Lorenzo
NM 88041
(575) 800-1467
(575) 536-3991

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location2672 Nm Hwy 35, San Lorenzo, New Mexico
Authorized Official Name and PositionDaniel Otero (CEO)
Authorized Official Contact5755422322
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

530 De Moss St
Lordsburg
NM 88045-2618

Ph: (575) 542-8384
2672 Nm Hwy 35
San Lorenzo
NM 88041

Ph: (575) 800-1467

NPI Details:

NPI Number1801889878
Provider Enumeration Date08/25/2005
Last Update Date06/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4587572250
Medicare Enrollment IDO20030207000000

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801889878NPI-NPPES
69173273MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 3256 (New Mexico)Primary

Reviews and Comments


Clinic/Center in San Lorenzo, NM


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.